| Vu D Tran Md Inc | |
|
17220 Newhope St Ste 125-126 Fountain Valley CA 92708-4272 | |
| (714) 617-4310 | |
| (714) 617-4393 |
| Full Name | Vu D Tran Md Inc |
|---|---|
| Speciality | Family Medicine |
| Location | 17220 Newhope St Ste 125-126, Fountain Valley, California |
| Authorized Official Name and Position | Vu Dinh Tran (MD/PRESIDENT) |
| Authorized Official Contact | 7146174310 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Vu D Tran Md Inc 5907 Cerritos Ave Unit 2325 Cypress CA 90630-8716 Ph: (714) 617-4310 | Vu D Tran Md Inc 17220 Newhope St Ste 125-126 Fountain Valley CA 92708-4272 Ph: (714) 617-4310 |
| NPI Number | 1912553983 |
|---|---|
| Provider Enumeration Date | 08/14/2019 |
| Last Update Date | 08/19/2019 |
| Medicare PECOS PAC ID | 6002146693 |
|---|---|
| Medicare Enrollment ID | O20190924003795 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1912553983 | NPI | - | NPPES |
| A138753 | Other | CA | MEDICAL LICENSE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| Provider Name | Vu D Tran |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1720424286 PECOS PAC ID: 8729371166 Enrollment ID: I20160722002091 |
| Provider Name | Michael Katiraie |
|---|---|
| Provider Type | Practitioner - Osteopathic Manipulative Medicine |
| Provider Identifiers | NPI Number: 1730617994 PECOS PAC ID: 2567700859 Enrollment ID: I20190212001403 |
| Provider Name | Kevin V Mai |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1952890113 PECOS PAC ID: 1052747086 Enrollment ID: I20200210002859 |
| Provider Name | Jacob Lebeau |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1518457985 PECOS PAC ID: 2567899172 Enrollment ID: I20200303001266 |
| Provider Name | Kathleen Ranola |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1629567490 PECOS PAC ID: 9537581582 Enrollment ID: I20200630001483 |
| Provider Name | Victoria Natalie Teo |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1841953841 PECOS PAC ID: 6507252129 Enrollment ID: I20220407002399 |
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